Therapists in Vancouver, WA

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Photo of Ashleigh Zoerb, Mental Health Counselor in Vancouver, WA
Ashleigh Zoerb
Mental Health Counselor, LMHC
Verified Verified
Vancouver, WA 98662
Ashleigh holds a LMHC (Licensed Mental Health Counselor) in the state of Washington and LPC (Licensed Professional Counselor) in the state of Oregon. She received a Master of Clinical Mental Health Counseling from Western Washington University and a Bachelor of Science in Applied Psychology from Eastern Washington University. Ashleigh has experience working with children, teens, adults, and older adults along with couples and families.
Ashleigh holds a LMHC (Licensed Mental Health Counselor) in the state of Washington and LPC (Licensed Professional Counselor) in the state of Oregon. She received a Master of Clinical Mental Health Counseling from Western Washington University and a Bachelor of Science in Applied Psychology from Eastern Washington University. Ashleigh has experience working with children, teens, adults, and older adults along with couples and families.
(360) 361-8547 View (360) 361-8547
Photo of Rinatta Paries, Counselor in Vancouver, WA
Rinatta Paries
Counselor, MA, CMHA, MFTA
Verified Verified
1 Endorsed
Vancouver, WA 98685  (Online Only)
Struggling with your relationship or marriage? Suffering over a painful breakup? Having trouble finding the right partner? Suffering from pain of an affair? Feeling stressed about what is happening with your teen or want to connect more with your young adult? Relationship-related situations such as these are solvable with therapy! As your therapist, I will help you navigate your way through painful situations and move towards creating lifelong, loving relationships, rich in connection and communication. Along the way, you will find yourself releasing trauma, feeling better, functioning better, and creating a life you love.
Struggling with your relationship or marriage? Suffering over a painful breakup? Having trouble finding the right partner? Suffering from pain of an affair? Feeling stressed about what is happening with your teen or want to connect more with your young adult? Relationship-related situations such as these are solvable with therapy! As your therapist, I will help you navigate your way through painful situations and move towards creating lifelong, loving relationships, rich in connection and communication. Along the way, you will find yourself releasing trauma, feeling better, functioning better, and creating a life you love.
(360) 776-7076 View (360) 776-7076
Photo of Laura Evans, Psychologist in Vancouver, WA
Laura Evans
Psychologist, PsyD
Verified Verified
1 Endorsed
Vancouver, WA 98660
Times of uncertainty often draw our attention to our fears and anxieties, but they also illuminate the things that are most important to us. Whether you’re wanting to learn more about yourself; worrying about your child’s well-being; suffering the loss of a loved one; processing abuse or trauma; experiencing a major life transition; feeling unsatisfied in your relationships; or are just wanting more out of life, therapy may be a great place to start.
Times of uncertainty often draw our attention to our fears and anxieties, but they also illuminate the things that are most important to us. Whether you’re wanting to learn more about yourself; worrying about your child’s well-being; suffering the loss of a loved one; processing abuse or trauma; experiencing a major life transition; feeling unsatisfied in your relationships; or are just wanting more out of life, therapy may be a great place to start.
(360) 228-2374 View (360) 228-2374
Photo of Aspire Behavioral Health, Michelle Newton, Counselor in Vancouver, WA
Aspire Behavioral Health, Michelle Newton
Counselor, MA, MFT, LMHC, CMHS, QMHP
Verified Verified
3 Endorsed
Vancouver, WA 98662
"Life is what happens to you while you're busy making other plans". With over 18 years in the field, I am an experienced clinician. Challenges in your relationship as a couple, dealing with an explosive child or teenager, depression, anxiety, trauma, and struggling to have a healthier, happier relationship as a couple, family or individual? Here's where you can take your first step. There is hope and things can change. I am a down-to-earth therapist with a warm and caring nature. I provide an empathetic and safe place where you can be yourself without fear of judgment.
"Life is what happens to you while you're busy making other plans". With over 18 years in the field, I am an experienced clinician. Challenges in your relationship as a couple, dealing with an explosive child or teenager, depression, anxiety, trauma, and struggling to have a healthier, happier relationship as a couple, family or individual? Here's where you can take your first step. There is hope and things can change. I am a down-to-earth therapist with a warm and caring nature. I provide an empathetic and safe place where you can be yourself without fear of judgment.
(360) 633-2300 View (360) 633-2300
Photo of A Better Way Counseling Service, Mental Health Counselor in Vancouver, WA
A Better Way Counseling Service
Mental Health Counselor, LMHC, LMFT, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98663
Not accepting new clients
We are not currently accepting new clients and our waitlist is full - Here at A Better Way Counseling Services, our mission is to be of service to our Washington community, far and near. We offer quality mental health counseling, training, and classes on a variety of helpful topics. Our philosophy is to work with people from an individualized, needs-driven, and strength-based focus. We are committed to offering quality mental health services to all people, regardless of religious preference, race, sex, income, sexual orientation, or education. A fundamental principle of our service is to treat everyone with respect and dignity.
We are not currently accepting new clients and our waitlist is full - Here at A Better Way Counseling Services, our mission is to be of service to our Washington community, far and near. We offer quality mental health counseling, training, and classes on a variety of helpful topics. Our philosophy is to work with people from an individualized, needs-driven, and strength-based focus. We are committed to offering quality mental health services to all people, regardless of religious preference, race, sex, income, sexual orientation, or education. A fundamental principle of our service is to treat everyone with respect and dignity.
(360) 443-9801 View (360) 443-9801
Photo of Rachel Coblentz, Counselor in Vancouver, WA
Rachel Coblentz
Counselor, MS, LMHC, CPC
Verified Verified
Vancouver, WA 98660  (Online Only)
Are you struggling with anxiety, focus, and motivation, and/or having difficulty with past experiences that are still affecting you negatively? Well, I think I can help with that. Clients seek out my services, to help them: develop better habits and skills that reduce negative symptoms of anxiety, find strategies to live well with neurodiversity, and to find relief from trauma symptoms. You being here shows that you are ready to show up for yourself & I am ready to witness that with you and be of some help on the way to reaching your goals, whatever those goals are to you!
Are you struggling with anxiety, focus, and motivation, and/or having difficulty with past experiences that are still affecting you negatively? Well, I think I can help with that. Clients seek out my services, to help them: develop better habits and skills that reduce negative symptoms of anxiety, find strategies to live well with neurodiversity, and to find relief from trauma symptoms. You being here shows that you are ready to show up for yourself & I am ready to witness that with you and be of some help on the way to reaching your goals, whatever those goals are to you!
(360) 774-4380 View (360) 774-4380
Photo of Joshua A. Furtado, Counselor in Vancouver, WA
Joshua A. Furtado
Counselor, LPC, LMHC, CADCIII, SUDP
Verified Verified
Vancouver, WA 98660
Waitlist for new clients
I believe that every client has the potential for health and wellness regardless their situation. I have dealt with many issues including, mood, thoughts, anxiety, attention, eating, gender, sexuality, spirituality, substance use, and compulsive behaviors. I want to meet you where you are. While they may not be ready to make immediate changes, planting the seeds of health and wellness are my ultimate goals. I work with adults and youth at least 11 years old.
I believe that every client has the potential for health and wellness regardless their situation. I have dealt with many issues including, mood, thoughts, anxiety, attention, eating, gender, sexuality, spirituality, substance use, and compulsive behaviors. I want to meet you where you are. While they may not be ready to make immediate changes, planting the seeds of health and wellness are my ultimate goals. I work with adults and youth at least 11 years old.
(360) 382-4396 View (360) 382-4396
Photo of Laura Sendelbach, Counselor in Vancouver, WA
Laura Sendelbach
Counselor, LMHC, NCC, MA
Verified Verified
Vancouver, WA 98684
Currently accepting couples only - I work with adults and couples experiencing attachment injuries and disconnection. In sessions, we will explore emotion and the way it sits in the body, understand patterns in your relationships, and utilize experiential activities that engage the parts of your self/experience that want to be heard. Ultimately, your voice, strengths, and needs will determine the route we take. Clients who are ready to take ownership of their wellness and experience deeper levels of vulnerability often feel significant change.
Currently accepting couples only - I work with adults and couples experiencing attachment injuries and disconnection. In sessions, we will explore emotion and the way it sits in the body, understand patterns in your relationships, and utilize experiential activities that engage the parts of your self/experience that want to be heard. Ultimately, your voice, strengths, and needs will determine the route we take. Clients who are ready to take ownership of their wellness and experience deeper levels of vulnerability often feel significant change.
(360) 531-7246 View (360) 531-7246
Photo of Nicole Parsons, Counselor in Vancouver, WA
Nicole Parsons
Counselor, MA
Verified Verified
2 Endorsed
Vancouver, WA 98663
I believe that something powerful happens when we are seen, heard, and equipped with dignity and support. Counseling is a transformative process that can promote healing, hope, and change as we navigate the challenges that come with being human. I approach therapy through a person-centered, narrative, and family-systems framework. This means that the therapeutic process is centered around your story, your context, and your intersecting identities. I also prioritize trauma-informed care and will work to ensure that you feel safe and empowered during our time together.
I believe that something powerful happens when we are seen, heard, and equipped with dignity and support. Counseling is a transformative process that can promote healing, hope, and change as we navigate the challenges that come with being human. I approach therapy through a person-centered, narrative, and family-systems framework. This means that the therapeutic process is centered around your story, your context, and your intersecting identities. I also prioritize trauma-informed care and will work to ensure that you feel safe and empowered during our time together.
(360) 842-0669 View (360) 842-0669
Photo of Leonie Fischer-Laycock, Pre-Licensed Professional in Vancouver, WA
Leonie Fischer-Laycock
Pre-Licensed Professional, BA
Verified Verified
Vancouver, WA 98685
Now taking new clients! I enjoy working with adults and teens (age 13+) on issues related to: anxiety, family of origin issues, grief and loss, emotional regulation, and building self esteem. I approach clients with a warm curiosity, compassion, and humor. I see counseling as a collaborative growth experience. In the face of challenge, it is my joy to help clients identify and own their strengths. She is always humbled and grateful in witnessing the client’s ability to change on their terms.
Now taking new clients! I enjoy working with adults and teens (age 13+) on issues related to: anxiety, family of origin issues, grief and loss, emotional regulation, and building self esteem. I approach clients with a warm curiosity, compassion, and humor. I see counseling as a collaborative growth experience. In the face of challenge, it is my joy to help clients identify and own their strengths. She is always humbled and grateful in witnessing the client’s ability to change on their terms.
(360) 938-4357 View (360) 938-4357
Photo of Nicole Kennedy, Counselor in Vancouver, WA
Nicole Kennedy
Counselor, LMHC
Verified Verified
Vancouver, WA 98660
Welcome. I'm so glad you're here. If you're seeking therapy, you're likely looking for some sort of change, which requires hope. I believe hope is gritty and requires courage. I believe the magic is found right in that liminal space where we start to open the door to new possibilities. I currently serve adult women-identifying clients in my private practice who desire to work through grief, trauma, anxiety, depression, and relational conflict. Informed by relational psychodynamic theory and existential psychotherapy, my therapeutic orientation is relationship centered.
Welcome. I'm so glad you're here. If you're seeking therapy, you're likely looking for some sort of change, which requires hope. I believe hope is gritty and requires courage. I believe the magic is found right in that liminal space where we start to open the door to new possibilities. I currently serve adult women-identifying clients in my private practice who desire to work through grief, trauma, anxiety, depression, and relational conflict. Informed by relational psychodynamic theory and existential psychotherapy, my therapeutic orientation is relationship centered.
(360) 559-6373 View (360) 559-6373
Photo of Kimberly Noel, Clinical Social Work/Therapist in Vancouver, WA
Kimberly Noel
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Vancouver, WA 98662
Being a parent, or caregiver, is no small thing.  There are so many challenges now-a-days.  The child mental health crisis has grown, and with it, the family mental health crisis, which means treatment must include the family as a whole.  My role as a therapist is to assist your child and family as a whole in working towards your goals by offering a supportive and safe space, and providing the opportunity for growth as a family.
Being a parent, or caregiver, is no small thing.  There are so many challenges now-a-days.  The child mental health crisis has grown, and with it, the family mental health crisis, which means treatment must include the family as a whole.  My role as a therapist is to assist your child and family as a whole in working towards your goals by offering a supportive and safe space, and providing the opportunity for growth as a family.
(360) 583-6932 View (360) 583-6932
Photo of Nicole Parkes, Psychologist in Vancouver, WA
Nicole Parkes
Psychologist, PhD
Verified Verified
Vancouver, WA 98682  (Online Only)
Do you often feel tired of feeling down, anxious, stressed out, or out of sorts? Isolated or misunderstood? Don't worry. I specialize in supporting people navigating the tumult of emotions associated with anger, anxiety, depression, grief, and major life changes. You have the power to heal and create a truly beautiful life just for you.
Do you often feel tired of feeling down, anxious, stressed out, or out of sorts? Isolated or misunderstood? Don't worry. I specialize in supporting people navigating the tumult of emotions associated with anger, anxiety, depression, grief, and major life changes. You have the power to heal and create a truly beautiful life just for you.
(262) 458-9572 View (262) 458-9572
Photo of Adam Hall, Counselor in Vancouver, WA
Adam Hall
Counselor, LMHCA
Verified Verified
Vancouver, WA 98662
Adam Hall is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2016. He has earned both his Bachelor's and Master's degree in Professional Counseling. Adam works with teens, individuals, and couples to navigate through the storms of life and relationships. This could be the relationship you have with yourself, parent and child relationships, or romantic partnerships. His previous experience includes working with teens from foster care, working in community mental health, and faith-based counseling.
Adam Hall is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2016. He has earned both his Bachelor's and Master's degree in Professional Counseling. Adam works with teens, individuals, and couples to navigate through the storms of life and relationships. This could be the relationship you have with yourself, parent and child relationships, or romantic partnerships. His previous experience includes working with teens from foster care, working in community mental health, and faith-based counseling.
(360) 777-5267 View (360) 777-5267
Photo of Laura Anne Farley, Psychologist in Vancouver, WA
Laura Anne Farley
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
(844) 397-6361 View (844) 397-6361
Photo of Christopher Forward, Clinical Social Work/Therapist in Vancouver, WA
Christopher Forward
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Vancouver, WA 98662
Are unexpected panic attacks causing distress, with blurred vision and heightened sensitivity to sound overwhelming you? Regaining calm in these moments might feel challenging, but please know you're not alone in this struggle against anxiety. There is a path forward, and enduring this forever isn't your only option. I believe in beginning our treatment with solution-focused brief therapy, and building a treatment plan from there.
Are unexpected panic attacks causing distress, with blurred vision and heightened sensitivity to sound overwhelming you? Regaining calm in these moments might feel challenging, but please know you're not alone in this struggle against anxiety. There is a path forward, and enduring this forever isn't your only option. I believe in beginning our treatment with solution-focused brief therapy, and building a treatment plan from there.
(360) 934-1810 View (360) 934-1810
Photo of Tyler Jansen, Psychologist in Vancouver, WA
Tyler Jansen
Psychologist, PsyD
Verified Verified
1 Endorsed
Vancouver, WA 98660
I primarily work with people who are working to overcome porn addictions, are struggling with self-worth, or are generally overwhelmed with stress and difficult emotions. I also enjoy working with people who want to integrate their faith into their therapeutic work. I strive to provide a non-judgmental, down-to-earth environment in which to address the issues that may feel embarrassing or shameful to broach, and earnestly want to help you reach your goals, and cheer for and encourage you every step of the way, while teaching tips and tricks that might make the process smother and easier for you. I'd love to meet you!
I primarily work with people who are working to overcome porn addictions, are struggling with self-worth, or are generally overwhelmed with stress and difficult emotions. I also enjoy working with people who want to integrate their faith into their therapeutic work. I strive to provide a non-judgmental, down-to-earth environment in which to address the issues that may feel embarrassing or shameful to broach, and earnestly want to help you reach your goals, and cheer for and encourage you every step of the way, while teaching tips and tricks that might make the process smother and easier for you. I'd love to meet you!
(360) 228-2687 View (360) 228-2687
Photo of Will Wilkinson, Clinical Social Work/Therapist in Vancouver, WA
Will Wilkinson
Clinical Social Work/Therapist, LCSWA
Verified Verified
Vancouver, WA 98683
Will Wilkinson is a Licensed Independent Clinical Social Worker Associate in Washington who has been practicing since 2023. He has his Bachelor and MSW from Arizona State University and is a graduate of the Arizona Trauma Institute. Will has worked with children and families from multiple vantage points through various agencies, including child protective services, domestic violence shelters, and residential treatment center for children. He was able to participate in furthering national domestic violence research for two years through AmeriCorps.
Will Wilkinson is a Licensed Independent Clinical Social Worker Associate in Washington who has been practicing since 2023. He has his Bachelor and MSW from Arizona State University and is a graduate of the Arizona Trauma Institute. Will has worked with children and families from multiple vantage points through various agencies, including child protective services, domestic violence shelters, and residential treatment center for children. He was able to participate in furthering national domestic violence research for two years through AmeriCorps.
(360) 345-3593 View (360) 345-3593
Photo of Jaclin Belabri, Counselor in Vancouver, WA
Jaclin Belabri
Counselor, MA, LMHC, NCC
Verified Verified
5 Endorsed
Vancouver, WA 98684  (Online Only)
Are you feeling alone, ashamed or disconnected and feel like no one else understands what you are going through? Do you struggle to know who you are or what you stand for? There are reasons that you are feeling this way. I am here to help explore why you feel stuck and give you a way out of your pain. I have a passion to help women find their true essence by collaborating with them so they live out their full potential. I specialize in helping them understand how past trauma shaped their self-perception and impacted how they relate to the world. You can change old coping mechanisms and live life filled with connection, love and joy.
Are you feeling alone, ashamed or disconnected and feel like no one else understands what you are going through? Do you struggle to know who you are or what you stand for? There are reasons that you are feeling this way. I am here to help explore why you feel stuck and give you a way out of your pain. I have a passion to help women find their true essence by collaborating with them so they live out their full potential. I specialize in helping them understand how past trauma shaped their self-perception and impacted how they relate to the world. You can change old coping mechanisms and live life filled with connection, love and joy.
(360) 979-1652 View (360) 979-1652
Photo of Sophia Claudson, Pre-Licensed Professional in Vancouver, WA
Sophia Claudson
Pre-Licensed Professional
Verified Verified
2 Endorsed
Vancouver, WA 98684
Are you struggling to cope with the transitions you are facing? Do you have difficulty connecting in your relationships? Do you find yourself unable to heal from loss? Life is often a series of gains and losses that can be difficult to navigate. I am passionate about coming alongside clients as they seek emotional, mental, relational and spiritual wellness. My goal is to provide a safe, therapeutic space where my clients feel seen and heard. I am convinced that clients are the experts in their own lives. I want to help you understand yourself better, and help you achieve your goals in a way that works the best for you!
Are you struggling to cope with the transitions you are facing? Do you have difficulty connecting in your relationships? Do you find yourself unable to heal from loss? Life is often a series of gains and losses that can be difficult to navigate. I am passionate about coming alongside clients as they seek emotional, mental, relational and spiritual wellness. My goal is to provide a safe, therapeutic space where my clients feel seen and heard. I am convinced that clients are the experts in their own lives. I want to help you understand yourself better, and help you achieve your goals in a way that works the best for you!
(360) 347-2136 View (360) 347-2136

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
77% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
67% Stress
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
55% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.